| Mahmood A Khan Primary Care Pc | |
|
5032 State Highway 30 Medical Plaza Amsterdam NY 12010-7534 | |
| (518) 842-0200 | |
| (518) 842-3003 |
| Full Name | Mahmood A Khan Primary Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5032 State Highway 30, Amsterdam, New York |
| Authorized Official Name and Position | Mahmood Ahmad Khan (PHYSICIAN) |
| Authorized Official Contact | 5188420200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahmood A Khan Primary Care Pc 5032 State Highway 30 Medical Plaza Amsterdam NY 12010-7534 Ph: (518) 842-0200 | Mahmood A Khan Primary Care Pc 5032 State Highway 30 Medical Plaza Amsterdam NY 12010-7534 Ph: (518) 842-0200 |
| NPI Number | 1831409614 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/14/2010 |
| Medicare PECOS PAC ID | 3870774573 |
|---|---|
| Medicare Enrollment ID | O20110301000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831409614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Mahmood A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265480073 PECOS PAC ID: 6901873629 Enrollment ID: I20040913001037 |
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